MEDICARE: SKILLS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	251B00000X	Case Management Agency	ME
2	251C00000X	Developmentally Disabled Services Day Training Agency	ME
3	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780814814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKILLS, INC

Provider Business Mailing Address
First Line	:	461 HARTLAND RD
Second Line	:	P O BOX 65
City	:	SAINT ALBANS
State	:	ME
Zip	:	04971-7436
Country	:	US
Telephone Number	:	207-938-4615
Fax Number	:

Provider Business Practice Location Address
First Line	:	461 HARTLAND RD
Second Line	:
City	:	SAINT ALBANS
State	:	ME
Zip	:	04971-7436
Country	:	US
Telephone Number	:	207-938-4615
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. THOMAS DAVIS
Credential	:
Telephone Number	:	207-938-4615

Provider Enumeration Date	:	07/23/2009
Last Update Date	:	07/23/2009

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Directions to “SKILLS, INC ” Practice Location

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